Key takeaways:
Picankibart (IBI112), ebdarokimab (AK 101), and imsidolimab (ANB019) are injectable medications in clinical trials for treatment of plaque psoriasis.
Recently approved icotrokinra is the first oral peptide for psoriasis treatment. Other oral agents in development include piclidenoson (CF101) and envudeucitinib (ESK-001).
More psoriasis biosimilars are also on the way.
The psoriasis treatment landscape continues to evolve. The FDA has approved dozens of new psoriasis medications since the turn of the century alone — with a big focus on biologic medications. Now, multiple targeted therapies are approaching FDA review.
Beyond the established biologics, newer agents are exploring alternative pathways and dosing strategies that may further refine disease control.
Below, we review nine psoriasis medications recently approved or in advanced stages of clinical trials. Note that this is not an exhaustive list.
1. Icotrokinra
Icotrokinra (JNJ-2113) is the first oral IL-23 inhibitor for psoriasis. It was approved by the FDA in March 2026 for treatment of moderate-to-severe plaque psoriasis for people ages 12 and older.
In the phase 3 ICONIC clinical trials, icotrokinra met primary endpoints with no new safety signals. Studies also suggest it’s superior to deucravacitinib and may be beneficial for difficult-to-treat scalp and genital psoriasis.
2. Picankibart
Picankibart (IBI112) is an anti IL-23 monoclonal antibody in development for plaque psoriasis. This subcutaneous injection targets interleukin-23 (IL-23). Other IL-23 inhibitors include Skyrizi (risankizumab) and Tremfya (guselkumab).
This injectable medication has shown promising results thus far:
Up to 86% of people in a phase 2 study achieved at least 90% symptom improvement after 1 year of treatment.
In the phase 3 CLEAR study, co-primary endpoints were met with no new safety signals. Responses were maintained with every 12-week dosing after induction.
Next up, researchers will determine if picankibart is effective in patients who did not respond to IL-17 inhibitor treatment.
Picankibart received approval from China's National Medical Products Administration (NMPA) in late 2025. An FDA approval application may come next.
3. Ebdarokimab
Ebdarokimab (AK 101) is a monoclonal antibody medication that targets both IL-12 and IL-23, similar to Stelara (ustekinumab). It's given as a quarterly subcutaneous injection.
Phase 3 studies at 16 and 52 weeks demonstrated short-term and sustained response in symptom improvement among 80% of participants.
Ebdarokimab finished two phase 3 studies in China, and it won Chinese approval in April 2025. It’s unclear whether its manufacturer intends to apply for FDA approval.
4. Imsidolimab
Imsidolimab (ANB019) is an IL-36 inhibitor in development for treatment of generalized pustular psoriasis (GPP). The FDA has accepted its approval application with a target decision date in late 2026. Currently the only FDA-approved medication for GPP is Spevigo (spesolimab).
Phase 2 GALLOP trial results on efficacy were promising, showing some people experienced an improvement in their symptoms in as little as 3 days. In Phase 3 GEMINI studies, over half of participants reported clear or almost clear skin 4 weeks after a single IV dose (versus 13% placebo). In a follow-up study, 100% of people who continued monthly treatment maintained clear skin.
5. Vunakizumab
Vunakizumab (SHR-1314) is another IL-17 inhibitor injection, similar to Cosentyx (secukinumab) and Taltz (ixekizumab).
According to phase 3 data published in January 2025, vunakizumab is safe and effective for treating moderate-to-severe plaque psoriasis. After 12 weeks (3 months) of treatment, over 70% of people experienced significant skin improvement. These benefits were generally maintained through 1 year of treatment.
Vunakizumab was approved in China in August 2024. Its manufacturer has not submitted a U.S. approval application to the FDA. Vunakizumab is also in development for treatment of psoriatic arthritis.
6. Piclidenoson
Piclidenoson (CF101) is a twice-daily tablet in the works for plaque psoriasis with a unique mechanism of action. It’s a type of A3 adenosine receptor (A3AR) agonist. This molecule inhibits production of inflammatory cytokines and ultimately induces inflammatory cell apoptosis.
So far, phase 3 study data found that piclidenoson was significantly better than placebo at helping people achieve 75% symptom improvement within 4 months of treatment.
Another phase 3 study is now on deck for piclidenoson. The manufacturer is expected to submit an FDA-approval application as its phase 3 trial program matures.
7. Envudeucitinib
Envudeucitinib (previously ESK-001) is another twice-daily oral medication in development for moderate-to-severe plaque psoriasis. It’s a TYK2 inhibitor, similar to Sotyktu (deucravacitinib), but designed to be more selective — potentially improving its effectiveness and safety profile.
The 12-week phase 2 STRIDE study yielded promising results, and the long-term extension results were recently published. More than 60% continued to see improvement for up to 52 weeks of treatment with 40 mg BID.
The ONWARD phase 3 trials are now underway, with data expected in early 2026.
8. ICP-488
ICP-488 is another oral TYK2 inhibitor in development for plaque psoriasis.
So far, phase 2 trials suggest that ICP-488 significantly reduces psoriasis symptoms for people with moderate-to-severe symptoms. Over three-fourths of participants who received the medication achieved at least 75% symptom improvement within 12 weeks of starting the medication.
A phase 3 trial kicked off in March 2025 to confirm these findings. If ICP-488 continues to show strong results, it could become another oral alternative to biologics for psoriasis.
9. Biosimilars
Several biosimilars are available for treatment of plaque psoriasis in the U.S., including many for adalimumab, etanercept, and ustekinumab. Several Stelara biosimilars have also been approved over the past year or so.
Even more biosimilars for psoriasis are slated to become available in the coming years. Keep an eye out for products such as BAT2306, which is a proposed Cosentyx (secukinumab) biosimilar.
The bottom line
Many new psoriasis medications are in development, including injectable and oral options. Ones to watch for include piclidenoson, due to its unique mechanism of action, and imsidolimab, due to its potential treatment for generalized pustular psoriasis. And several new biosimilars may help with out-of-pocket savings.
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References
Akesobio. (2025). Akeso’s ebdarokimab (IL-12/IL-23 dual-targeted monoclonal antibody) approved in China for moderate-to-severe plaque psoriasis.
Alumis. (2025). Alumis completes enrollment of pivotal phase 3 ONWARD clinical program of lead candidate ESK-001, a highly selective, next-generation oral TYK2 inhibitor for the treatment of moderate-to-severe plaque psoriasis. Globe Newswire.
AnaptysBio. (2023). Anaptys announces positive top-line phase 3 clinical trial results of imsidolimab (IL-36R) in generalized pustular psoriasis. (GPP). Globe Newswire.
Bio-Thera. (2022). Bio-Thera solutions initiates phase III clinical trial for BAT2306, a proposed biosimilar of Cosentyx (secukinumab).
Blauvelt, A., et al. (2026). Highly selective, allosteric inhibition of TYK2 with oral ESK-001 in patients with moderate-to-severe plaque psoriasis: Results from STRIDE, a 12-week, randomized, double-blinded, placebo-controlled, dose-ranging phase 2 study. Journal of the American Academy of Dermatology.
Brownstone, N. D., et al. (2021). Biologic treatments of psoriasis: An update for the clinician. Biologics.
Can-Fite BioPharma Ltd. (2025). Can-fite initiates pivotal phase 3 psoriasis study of its oral drug piclidenoson with FDA & EMA-approved protocol.
ClinicalTrials.gov. (2026). Efficacy, safety, pharmacokinetics of ICP-488 in patients with moderate to severe plaque psoriasis. National Library of Medicine.
Crescioli, S., et al. (2024). Antibodies to watch in 2025. mAbs.
Fishman, P. (2022). Drugs targeting the A3 adenosine receptor: Human clinical study data. Molecules.
Future Market Insights. (2024). Psoriasis biosimilars market is forecasted to reach an impressive USD 26,679.9 million by 2034, reflecting a robust CAGR of 11.2%. Globe Newswire.
InnoCare Pharma. (2024). InnoCare announces phase II study results of TYK2 inhibitor ICP-488 meet primary endpoint in psoriasis patients.
InnoCare Pharma. (2025). InnoCare releases 2024 results and business highlights.
Innovent Biologics. (2023). Innovent announces first patient dosed in a phase 3 clinical trial (CLEAR) of picankibart (Anti-IL23p19 monoclonal antibody) in patients with moderate-to-severe plaque psoriasis. PR Newswire.
Innovent Biologics. (2024). Innovent announces picankibart (IBI112) Achieved primary endpoints in a phase 3 clinical trial in treating moderate to severe plaque psoriasis, and plans to submit NDA to the NMPA.
Innovent Biologics. (2025). China's first domestic IL-23p19 monoclonal antibody: Innovent's PECONDLE (picankibart injection) received NMPA approval.
Johnson & Johnson. (2025). Icotrokinra long-term results affirm promise of targeted oral peptide with high rates of durable skin clearance and favorable safety profile in difficult-to-treat scalp and genital psoriasis. PR Newswire.
Johnson & Johnson. (2025). Icotrokinra shows superiority to deucravacitinib in first reported head-to-head trials reinforcing promise of novel targeted oral peptide for treatment of plaque psoriasis. PR Newswire.
Johnson & Johnson. (2025). FDA approval of ICOTYDE (icotrokinra) ushers in new era for first-line systemic treatment of plaque psoriasis with a targeted oral peptide. PR Newswire.
Keam, S. J. (2024). Vunakizumab: First approval. Drugs.
Menter, A. (2019). Joint AAD-NPF guidelines of care for the management and treatment of psoriasis with biologics. Journal of the American Academy of Dermatology.
Papp, K. A., et al. (2024). Efficacy and safety of piclidenoson in plaque psoriasis: Results from a randomized phase 3 clinical trial (COMFORT-1). Journal of the European Academy of Dermatology and Venerology.
Papp, K. A., et al. (2026). Safety and efficacy of envudeucitinib, a highly selective, oral allosteric TYK2 inhibitor, in patients with moderate-to-severe plaque psoriasis: Results from the 52-week open-label extension period of the phase 2 STRIDE study. Journal of the American Academy of Dermatology.
Sami, T. (2025). Akeso scores China approval for ebdarokimab in plaque psoriasis. BioWorld.
Upcinar, S., et al. (2024). Safety, tolerability, pharmacokinetics, and pharmacodynamics of the oral allosteric TYK2 inhibitor ESK-001 using a randomized, double-blind, placebo-controlled study design. Clinical and Translational Science.
Vanda Pharmaceuticals. (2026). Vanda Pharmaceuticals announces FDA acceptance of biologics license application filing for imsidolimab for the treatment of generalized pustular psoriasis.
Warren, R. B., et al. (2023). Imsidolimab, an anti-interleukin-36 receptor monoclonal antibody, for the treatment of generalized pustular psoriasis: results from the phase II GALLOP trial. BJD.
Xue, Y., et al. (2026). Vunakizumab in patients with active psoriatic arthritis: a multicentre, randomized, double-blind, placebo-controlled, phase 2 study. Rheumatology.
Yan, K., et al. (2025). Efficacy and safety of vunakizumab in moderate-to-severe chronic plaque psoriasis: A randomized, double-blind, placebo-controlled phase 3 trial. Journal of the American Academy of Dermatology.
